Your doctor can give you medicine to relax your anal muscles. Narcotic pain medications are avoided because they can cause constipation which could make the situation worse. Anal fissures usually heal within a few weeks but those that have not healed after 4—6 weeks are called chronic fissures. Warm tub baths sitz baths for 10 to 20 minutes, a few times per day especially after bowel movements to soothe the area and help relax anal sphincter muscles. Anal fissures are a common problem GPs are used to dealing with. Surgery may be recommended in persistent cases of anal fissure where self-help measures and medicine have not helped. If someone has a chronic fissure, it is thought that the reason it has not healed is that the ring muscle sphincter that goes around the anus back passage has become so tense that the flow of blood to the lining of the anus is reduced.
Typically, digital rectal exams and anoscopies are not performed if a fissure is seen. Treatment How to treat your anal fissure at home You can treat anal fissures with a zinc oxide ointment to reduce discomfort. Other muscle-sparing techniques are currently being evaluated. We value your feedback. Disclaimer: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Using a pea-sized amount of ointment 5 or 6 times a day is often better than using a larger amount twice a day. Fiber supplements can also help soften stools.
What are Anal Fissures A fissure is a tear in the lining of the anus. The anal canal is a short tube surrounded by muscle at the end of your rectum. Children with an anal fissure are usually prescribed an osmotic laxative oral solution. Surgery may be recommended in persistent cases of anal fissure where self-help measures and medicine have not helped. Treatment for anal fissure from a GP A GP can prescribe medication to help relieve your symptoms and speed up the healing process. Even when the pain and bleeding lessen, it is important to maintain good bowel habits and eat a high-fiber diet.
No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Your doctor will most likely determine if you have anal fissures by performing a physical exam. Changes may include the addition of a high fiber diet, in which grams of fiber per day is ingested, a fiber supplement such as Metamucil, Konsyl, Citrucel, or Per diem, drinking plenty of fluids, sitz baths, and moderate exercise. Moderate activity like walking at least 30 minutes a day, most days of the week, can help keep your digestive system functioning normally and foster overall health. If someone has a chronic fissure, it is thought that the reason it has not healed is that the ring muscle sphincter that goes around the anus back passage has become so tense that the flow of blood to the lining of the anus is reduced. Kapadia, MD Colorectal Surgeon.